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Name
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Student ID Number
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Address
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City
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State
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Zip Code
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Phone
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Email
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Term Being Certified
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Declared Degree Plan
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Degree Option
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Is this a change of Degree Plan?
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Double Major
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Minor
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Select the benefit you are currently using
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If other, what kind?
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Check the appropriate status
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Term Certification
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How many credits are you registered for this semester?
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Do these courses satisfy your degree requirements? If no, please note any courses that do not satisfy the degree requirements cannot be certified with the VA.
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Are any of your courses offered online? If yes, please note online remedial courses cannot be certified with the VA.
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Are you receiving Tuition Assistance? Tuition Assistance is a benefit paid to eligible members of the Army, Navy, Marines, Air Force, and Coast Guard.
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If yes, what is the dollar amount being applied to your tuition?
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Are you receiving any scholarships?
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